Factors associated with working status among workers assessed at a specialized worker's compensation board psychological trauma program

Jennifer M. Hensel, Ash Bender, Jason Bacchiochi, Carolyn S Dewa

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Background: Psychological morbidity following trauma occurring in the workplace can impact return to work but few studies have investigated this. Methods: This study was a secondary analysis of administrative data from a specialized workers' compensation board psychological trauma program in Toronto, Canada. Unadjusted and adjusted logistic regression analyses were used to examine factors associated with working status at the time of assessment for workers referred within 1 year of traumatic event. Results: Having a disrupted marriage (OR=3.06, 95% CI 1.14-8.20), sustaining a permanently impairing physical injury (OR=2.76, 95% CI 1.01-7.55) and the presence of secondary psychiatric diagnoses (OR=2.55, 95% CI 1.34-4.83) were significantly associated with not working at the time of assessment. When the analyses were subset to workers without permanently impairing physical injuries, only the presence of additional psychiatric diagnoses was significantly associated with not working (OR=3.81, 95% CI 1.48-9.83). Conclusions: Return to work after trauma can be a complicated and difficult to treat problem. Social supports, physical rehabilitation and treatment of complex mental health problems likely play a crucial role in improving outcomes.

Original languageEnglish (US)
Pages (from-to)552-559
Number of pages8
JournalAmerican Journal of Industrial Medicine
Volume54
Issue number7
DOIs
StatePublished - Jul 2011
Externally publishedYes

Keywords

  • Post-traumatic stress disorder
  • Psychological morbidity
  • Return to work
  • Workplace trauma

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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